The review process has issues, reviews take too long and many are not sufficient for authors to improve their submissions. In this paper, I present the root causes for these problems and stipulate that any proposed solutions will need to address these issues to create sustainable improvement. Additionally, I list five basic activities that need to form the basic actions for proposed solutions. Finally, I make six potentially controversial proposals for improving the review process. The key proposals include performing a faculty task analysis that adds in and includes time for performing reviewing and changing the tenure and promotion process to give credit for performing reviews.